A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach

A. Giustiniani; A. Vallesi; M. Oliveri; V. Tarantino; E. Ambrosini; M. Bortoletto; F. Masina; P. Busan; H. R. Siebner; L. Fadiga; G. Koch; L. Leocani; J. P. Lefaucheur; A. Rotenberg; A. Zangen; I. R. Violante; V. Moliadze; O. L. Gamboa; Y. Ugawa; A. Pascual-Leone; U. Ziemann; C. Miniussi; F. Burgio

doi:https://doi.org/10.1016/j.clinph.2022.06.008

A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach

A. Giustiniani, A. Vallesi, M. Oliveri, V. Tarantino, E. Ambrosini, M. Bortoletto, F. Masina, P. Busan, H. R. Siebner, L. Fadiga, G. Koch, L. Leocani, J. P. Lefaucheur, A. Rotenberg, A. Zangen, I. R. Violante, V. Moliadze, O. L. Gamboa, Y. Ugawa, A. Pascual-LeoneU. Ziemann, C. Miniussi, F. Burgio

Department of Life Sciences

Ben-Gurion University of the Negev

Research output: Contribution to journal › Review article › peer-review

Abstract

Transcranial magnetic stimulation (TMS) has been widely used in both clinical and research practice. However, TMS might induce unintended sensations and undesired effects as well as serious adverse effects. To date, no shared forms are available to report such unintended effects. This study aimed at developing a questionnaire enabling reporting of TMS unintended effects. A Delphi procedure was applied which allowed consensus among TMS experts. A steering committee nominated a number of experts to be involved in the Delphi procedure. Three rounds were conducted before reaching a consensus. Afterwards, the questionnaire was publicized on the International Federation of Clinical Neurophysiology website to collect further suggestions by the wider scientific community. A last Delphi round was then conducted to obtain consensus on the suggestions collected during the publicization and integrate them in the questionnaire. The procedure resulted in a questionnaire, that is the TMSens_Q, applicable in clinical and research settings. Routine use of the structured TMS questionnaire and standard reporting of unintended TMS effects will help to monitor the safety of TMS, particularly when applying new protocols. It will also improve the quality of data collection as well as the interpretation of experimental findings.

Original language	American English
Pages (from-to)	101-108
Number of pages	8
Journal	Clinical Neurophysiology
Volume	141
DOIs	https://doi.org/10.1016/j.clinph.2022.06.008
State	Published - 1 Sep 2022

Keywords

Delphi procedure
Neuromodulation
Non-invasive brain stimulation
Safety
TMS adverse events
TMS secondary effects
Transcranial magnetic stimulation

All Science Journal Classification (ASJC) codes

Clinical Neurology
Neurology
Sensory Systems
Physiology (medical)

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Cite this

Giustiniani, A., Vallesi, A., Oliveri, M., Tarantino, V., Ambrosini, E., Bortoletto, M., Masina, F., Busan, P., Siebner, H. R., Fadiga, L., Koch, G., Leocani, L., Lefaucheur, J. P., Rotenberg, A., Zangen, A., Violante, I. R., Moliadze, V., Gamboa, O. L., Ugawa, Y., ... Burgio, F. (2022). A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach. Clinical Neurophysiology, 141, 101-108. https://doi.org/10.1016/j.clinph.2022.06.008

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title = "A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach",

abstract = "Transcranial magnetic stimulation (TMS) has been widely used in both clinical and research practice. However, TMS might induce unintended sensations and undesired effects as well as serious adverse effects. To date, no shared forms are available to report such unintended effects. This study aimed at developing a questionnaire enabling reporting of TMS unintended effects. A Delphi procedure was applied which allowed consensus among TMS experts. A steering committee nominated a number of experts to be involved in the Delphi procedure. Three rounds were conducted before reaching a consensus. Afterwards, the questionnaire was publicized on the International Federation of Clinical Neurophysiology website to collect further suggestions by the wider scientific community. A last Delphi round was then conducted to obtain consensus on the suggestions collected during the publicization and integrate them in the questionnaire. The procedure resulted in a questionnaire, that is the TMSens_Q, applicable in clinical and research settings. Routine use of the structured TMS questionnaire and standard reporting of unintended TMS effects will help to monitor the safety of TMS, particularly when applying new protocols. It will also improve the quality of data collection as well as the interpretation of experimental findings.",

keywords = "Delphi procedure, Neuromodulation, Non-invasive brain stimulation, Safety, TMS adverse events, TMS secondary effects, Transcranial magnetic stimulation",

author = "A. Giustiniani and A. Vallesi and M. Oliveri and V. Tarantino and E. Ambrosini and M. Bortoletto and F. Masina and P. Busan and Siebner, {H. R.} and L. Fadiga and G. Koch and L. Leocani and Lefaucheur, {J. P.} and A. Rotenberg and A. Zangen and Violante, {I. R.} and V. Moliadze and Gamboa, {O. L.} and Y. Ugawa and A. Pascual-Leone and U. Ziemann and C. Miniussi and F. Burgio",

note = "Publisher Copyright: {\textcopyright} 2022 International Federation of Clinical Neurophysiology",

year = "2022",

month = sep,

day = "1",

doi = "https://doi.org/10.1016/j.clinph.2022.06.008",

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Giustiniani, A, Vallesi, A, Oliveri, M, Tarantino, V, Ambrosini, E, Bortoletto, M, Masina, F, Busan, P, Siebner, HR, Fadiga, L, Koch, G, Leocani, L, Lefaucheur, JP, Rotenberg, A, Zangen, A, Violante, IR, Moliadze, V, Gamboa, OL, Ugawa, Y, Pascual-Leone, A, Ziemann, U, Miniussi, C & Burgio, F 2022, 'A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach', Clinical Neurophysiology, vol. 141, pp. 101-108. https://doi.org/10.1016/j.clinph.2022.06.008

TY - JOUR

T1 - A questionnaire to collect unintended effects of transcranial magnetic stimulation

T2 - A consensus based approach

AU - Giustiniani, A.

AU - Vallesi, A.

AU - Oliveri, M.

AU - Tarantino, V.

AU - Ambrosini, E.

AU - Bortoletto, M.

AU - Masina, F.

AU - Busan, P.

AU - Siebner, H. R.

AU - Fadiga, L.

AU - Koch, G.

AU - Leocani, L.

AU - Lefaucheur, J. P.

AU - Rotenberg, A.

AU - Zangen, A.

AU - Violante, I. R.

AU - Moliadze, V.

AU - Gamboa, O. L.

AU - Ugawa, Y.

AU - Pascual-Leone, A.

AU - Ziemann, U.

AU - Miniussi, C.

AU - Burgio, F.

PY - 2022/9/1

Y1 - 2022/9/1

N2 - Transcranial magnetic stimulation (TMS) has been widely used in both clinical and research practice. However, TMS might induce unintended sensations and undesired effects as well as serious adverse effects. To date, no shared forms are available to report such unintended effects. This study aimed at developing a questionnaire enabling reporting of TMS unintended effects. A Delphi procedure was applied which allowed consensus among TMS experts. A steering committee nominated a number of experts to be involved in the Delphi procedure. Three rounds were conducted before reaching a consensus. Afterwards, the questionnaire was publicized on the International Federation of Clinical Neurophysiology website to collect further suggestions by the wider scientific community. A last Delphi round was then conducted to obtain consensus on the suggestions collected during the publicization and integrate them in the questionnaire. The procedure resulted in a questionnaire, that is the TMSens_Q, applicable in clinical and research settings. Routine use of the structured TMS questionnaire and standard reporting of unintended TMS effects will help to monitor the safety of TMS, particularly when applying new protocols. It will also improve the quality of data collection as well as the interpretation of experimental findings.

AB - Transcranial magnetic stimulation (TMS) has been widely used in both clinical and research practice. However, TMS might induce unintended sensations and undesired effects as well as serious adverse effects. To date, no shared forms are available to report such unintended effects. This study aimed at developing a questionnaire enabling reporting of TMS unintended effects. A Delphi procedure was applied which allowed consensus among TMS experts. A steering committee nominated a number of experts to be involved in the Delphi procedure. Three rounds were conducted before reaching a consensus. Afterwards, the questionnaire was publicized on the International Federation of Clinical Neurophysiology website to collect further suggestions by the wider scientific community. A last Delphi round was then conducted to obtain consensus on the suggestions collected during the publicization and integrate them in the questionnaire. The procedure resulted in a questionnaire, that is the TMSens_Q, applicable in clinical and research settings. Routine use of the structured TMS questionnaire and standard reporting of unintended TMS effects will help to monitor the safety of TMS, particularly when applying new protocols. It will also improve the quality of data collection as well as the interpretation of experimental findings.

KW - Delphi procedure

KW - Neuromodulation

KW - Non-invasive brain stimulation

KW - Safety

KW - TMS adverse events

KW - TMS secondary effects

KW - Transcranial magnetic stimulation

UR - http://www.scopus.com/inward/record.url?scp=85133587625&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.clinph.2022.06.008

DO - https://doi.org/10.1016/j.clinph.2022.06.008

M3 - Review article

C2 - 35798667

SN - 1388-2457

VL - 141

SP - 101

EP - 108

JO - Clinical Neurophysiology

JF - Clinical Neurophysiology

ER -

A questionnaire to collect unintended effects of transcranial magnetic stimulation: A consensus based approach

Abstract

Keywords

All Science Journal Classification (ASJC) codes

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